-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QOTOC61glGrBxObk8myPDlL1zp5UH2CkmtS57s3GNBYH7VPly1rS6M/mdwNnoCdh /hTkGUj6SuBCUX5KMh4rPw== 0001017084-96-000001.txt : 19961219 0001017084-96-000001.hdr.sgml : 19961219 ACCESSION NUMBER: 0001017084-96-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19961218 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BASSETT FURNITURE INDUSTRIES INC CENTRAL INDEX KEY: 0000010329 STANDARD INDUSTRIAL CLASSIFICATION: WOOD HOUSEHOLD FURNITURE, (NO UPHOLSTERED) [2511] IRS NUMBER: 540135270 STATE OF INCORPORATION: VA FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00209 FILM NUMBER: 96682604 BUSINESS ADDRESS: STREET 1: MAIN ST STREET 2: P O BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 BUSINESS PHONE: 7036296000 MAIL ADDRESS: STREET 1: MAIN ST STREET 2: P O BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 COMPANY DATA: COMPANY CONFORMED NAME: SPILMAN ROBERT H/ CENTRAL INDEX KEY: 0001017084 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O BASSETT FURNITURE INDUSTRIES INC STREET 2: PO BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 BUSINESS PHONE: 5406296000 MAIL ADDRESS: STREET 1: C/O BASSETT FURNITURE INDUSTRIES INC STREET 2: PO BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 4 1 FORM 4 - DECEMBER 1996 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person SPILMAN, ROBERT H BASSETT FURNITURE INDUSTRIES INC P O BOX 626 245 MAIN STREET BASSETT, VA 24055 USA 2. Issuer Name and Ticker or Trading Symbol BASSETT FURNITURE INDUSTRIES, INC BSET 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Statement for Month/Year DECEMBER 1996 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) CHAIRMAN OF THE BOARD & CHIEF EXECUTIVE OFFICER 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| COMMON STOCK | | | | | | |19,963 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| |12-17-|G |V|10,776 |D | |52,494* |I |WIFE | |96 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |13,962* |I |WIFE TTEE FOR SON | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |13,962* |I |WIFE TTEE DAUGHTER | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |13,962* |I |WIFE TTEE FOR SON | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |13,970* |I |TTEE FOR WIFE | - -----------------------------------------------------------------------------------------------------------------------------------| *BENEFICIAL OWNERSHIP IS EX| | | | | | | | | | PRESSLY DISCLAIMED | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| *OPTION (RIGHT TO BUY)|28.00 | | | | | |1994 |8-31-|COMMON |3,571 | |21,428 |D | | | | | | | | | |2002 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1995 |" |" |3,571 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1996 |" |" |3,571 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1997 |" |" |3,571 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1998 |" |" |3,571 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1999 |" |" |3,571 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |2000 |" |" |2 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| *OPTION (RIGHT TO BUY)|37.40 | | | | | |7-16-|1-25-|COMMON |2,861 | |25,000 |D | | | | | | | | |93 |2003 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1994 |" |" |2,861 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1995 |" |" |2,861 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1996 |" |" |2,861 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |1997 |" |" |2,862 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |2000 |" |" |2,673 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |2001 |" |" |2,673 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |2002 |" |" |2,673 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | |2003 |" |" |2,675 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: *GRANTED UNDER THE 1982 STOCK OPTION PLAN WHICH IS A RULE 16b-3 PLAN. **GRANTED UNDER THE 1993 LONG TERM INCENTIVE PLAN WHICH IS A RULE 16b-3 PLAN. SIGNATURE OF REPORTING PERSON ROBERT H SPILMAN DATE 12-18-96 -----END PRIVACY-ENHANCED MESSAGE-----